以简明损伤定级标准与创伤严重程度评分为基础的分级护理在急诊创伤骨折患者中的应用效果

Effectiveness of Graded Care Based on Concise Injury Grading Criteria and Trauma Severity Score in Emergency Trauma Fracture Patients

目的:探讨以简明损伤定级标准与创伤严重程度(AIS-ISS)评分为基础的分级护理在急诊创伤骨折患者中的应用效果,为临床护理提供依据。方法:选取2021年1月—2022年12月福建医科大学附属第一医院急诊科收治的100例创伤骨折患者作为研究对象,采用随机数表法将其分为对照组与试验组,每组各50例。对照组患者采用急诊常规护理,试验组患者在急诊常规护理基础上实施以AIS-ISS评分为基础的分级护理。比较两组患者的救治效果、护理服务质量及护理满意度情况。结果:试验组患者评估伤情时间、入院检查时间、有效救治时间、住院时间均明显短于对照组,救治成功率高于对照组,并发症发生率低于对照组,差异有统计学意义(t=13.205、7.815、10.289、10.978,χ^(2)=7.527、5.005,P<0.05)。试验组患者感知护理服务质量评价量表中各维度评分均明显高于对照组,差异有统计学意义(t=6.941、6.661、6.836、8.971,P<0.05)。试验组患者护理满意度量表中各维度评分及总分均明显高于对照组,差异有统计学意义(t=6.350、12.034、9.176、7.509、16.005,P<0.05)。结论:以AIS-ISS评分为基础对急诊创伤骨折患者实施分级护理,能够提高护理服务质量,缩短患者救治时间,提高救治成功率,改善患者临床结局,进而提升护理满意度。

Objective:To investigate the effect of graded care based on the abbreviated injury classification criteria and trauma severity(AIS-ISS)score in emergency trauma fracture patients,and to provide a basis for clinical care.Methods:100 cases of trauma fracture patients admitted to the hospital from January 2021 to December 2022 were selected as the study subjects,and were divided into the control group and the experimental group using the random number table method,with 50 cases in each group.The patients in the control group adopted emergency routine care,and the patients in the experimental group implemented graded care based on the AIS-ISS score on the basis of emergency routine care.The rescue effect,nursing service quality and nursing satisfaction of the two groups were compared.Results:The time for assessing the injury,the time for admission and examination,the time for effective treatment,and the hospitalization time of the patients in the experimental group were significantly shorter than those in the control group,the success rate of treatment was higher than that of the control group The rate of complications was lower than that of the control group,and the difference was statistically significant(t=13.205,7.815,10.289,10.978;χ^(2)=7.527,5.005,P<0.05).The scores of all dimensions in the evaluation scale of the quality of perceived nursing service of patients in the experimental group were significantly higher than those of the control group,and the difference was statistically significant(t=6.941,6.661,6.836,8.971,P<0.05).The scores of all dimensions and total scores in the nursing care satisfaction scale of patients in the experimental group were significantly higher than those of the control group,and the difference was statistically significant(t=6.350,12.034,9.176,7.509,16.005,P<0.05).Conclusion:The implementation of graded care for emergency trauma fracture patients based on the AIS-ISS score can improve the quality of nursing services,shorten the time of patient rescue,increase the success rate of rescue,improve the clinical outcomes of patients,and then enhance the satisfaction of nursing care.